3D Exoscopic Surgery (3Des) for Tonsillectomy

Abstract

Recently we have coined the term 3Des (3D exoscopic surgery) to describe the use of the 3D Vitom Exoscope System for transoral surgery of oropharyngeal cancers. This surgical approach can also be employed for tonsillectomy performed for obstructive sleep apnea and recurrent tonsillitis. Decreasing pain, maintaining hydration, and minimizing the risk of post-operative hemorrhage has brought attention to novel surgical technique and instrumentation. The search for the most cost-effective, safe, and efficient modality that provides the maximum relief while minimizing morbidity is still ongoing. During the period from January 2022 to May 2022, 8 patients with recurrent tonsillitis were treated by tonsillectomy with the 3Des approach at our center. A comfortable transoral exposure of the tonsillar fossa and the excellent space to move the surgical instruments are the best features of this procedure, along with the great utility in the learning process, especially for residents, fellows, students.